Abstract
BackgroundThe increase in life expectancy has proliferated the number of elderly and subsequently increased the prevalence of disability among the elderly. This study assesses the prevalence of Activity of Daily Living (ADL) and Instrumental Activity of Daily Living (IADL) and analyzes determinants of ADL and IADL among elderly aged 60 and over living in India.MethodsThe study utilized the Longitudinal Ageing Study in India (LASI, 2017–18) data, and information was sought from 31,464 elderly aged 60 years and above. An index of ADL and IADL was created on a scale of three levels, exhibiting no, moderate, or severe levels of ADL/IADL disability. Multinomial logistic regression was used to determine the effect of socio-demographic parameters on ADL and IADL disability among the elderly.ResultsAround 3% of the elderly reported severe ADL disability, and 6% elderly reported severe IADL disability. Elderly who were not involved in any physical activity than their counterparts were more likely to report severe ADL (RRR = 2.68, C.I. = 1.66–4.32) and severe IADL (RRR = 2.70, C.I. = 1.98–3.67) than no ADL and no IADL, respectively.ConclusionAmidst the study finding, the study emphasizes the importance of setting-up of geriatric care centers in rural and urban areas. It would be feasible to provide geriatric care under the umbrella of already functioning government health facilities in different parts of the country. Community interventions earmarking the elderly with a focus on physical activity, specifically based in group physical exercise and implemented through existing networks, are rewarding for the elderly.
Highlights
The increase in life expectancy has proliferated the number of elderly and subsequently increased the prevalence of disability among the elderly
Who were not involved in any physical activity than their counterparts were more likely to report severe Activity of Daily Living (ADL) (RRR = 2.68, C.I. = 1.66–4.32) and severe Instrumental Activity of Daily Living (IADL) (RRR = 2.70, C.I. = 1.98–3.67) than no ASL and no IADL, respectively
This study intends to determine the factors associated with ADL and IADL among the elderly in India and examine the prevalence of ADL and IADL among the Indian elderly
Summary
The increase in life expectancy has proliferated the number of elderly and subsequently increased the prevalence of disability among the elderly. This study assesses the prevalence of Activity of Daily Living (ADL) and Instrumental Activity of Daily Living (IADL) and analyzes determinants of ADL and IADL among elderly aged 60 and over living in India. The life expectancy at birth has increased from 66.5 years in 2000 to 72 years in 2016 (Patel et al, 2019). A person with disabilities faces many hindrances in their life. It includes attitudinal, environmental, and institutional barriers which prevent their full participation in any aspects of life [6]. Disability results from health problems and interactions between health conditions, activity and participation, and environmental and personal factors [8]. Its integral part is to promote and protect older adults’ rights and dignity and facilitate their full support in society [9]
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